1223 South 15th Street Corporation
1223 South 15th Street Corporation is a Customized Equipment (DME) in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.
- Licensed in
- PA
- In the registry since
- 2006
Practice location Address checks out
2745 W Passyunk AvePhiladelphia, PA 19145-4012
Phone: (215) 334-3816
Fax: (215) 334-1998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X · Licence 6000003764 (PA) |
|---|
Record details
| NPI number | 1396799722 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carlo Cocco — President · (215) 334-3816 |
| Other names | Cocco Brothers |
| NPI enumerated | May 20, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2745 W Passyunk Ave, Philadelphia, PA 19145-4012 |
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